| NPI | 1689798811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B WAX CEO 770-454-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR005750) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |